Tullos, Bobby W
Tullos, Bobby W is an sole proprietor health care provider with primary practice located at 1340 Broad Ave Ste 410 , Gulfport MS 39501-2459. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Tullos, Bobby W can be contacted via phone (228) 575-1775.Contact Information
Primary practice address
1340 Broad Ave Ste 410
Gulfport MS 39501-2459
Phone: (228) 575-1775
Fax: (228) 575-1770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23030 | Mississippi |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 23030 | Mississippi |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 23030 | Mississippi |
Profile Details
| NPI number | 1841554250 |
|---|---|
| LBN Legal business name | Tullos, Bobby W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Aug 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841554250 | NPPES |
| Mississippi | Other | 23030 | STATE MEDICAL LICENSE |
Popular Providers
-
Vega, Ricardo Rafael
27699 Jefferson Ave Ste 204 , Temecula CA 92590 -
Douglas, John William
15190 Community Rd Suite 220, Gulfport MS 39503-3485 -
Murray, Thomas G
1240 Jesse Jewell Pkwy Se , Gainesville GA 30501-3862 -
Thomas, Norvin Eugene
600 Medical Park Dr , Mexico MO 65265-3724 -
Milkowski, Deborah A.
702 Newman Rd , New Bern NC 28562-5238 -
Bosarge, Joseph Richard
1340 Broad Ave Suite 320, Gulfport MS 39501-2404 -
Allen, Summer Lea
4500 13Th St , Gulfport MS 39501 -
Ramirez, Raul Rodriguez
606 W Arch Ave Ste. A, Searcy AR 72143-5206